|  |  | ≥ 1TD episode | Attack rate | Person-days of travel | Crude Incidence Rate per 100 travel days (95%CI) | Incidence Rate Ratio, univariate (95%CI) | P value | Incidence Rate Ratio, multivariate (95%CI) | P value |
---|---|---|---|---|---|---|---|---|---|---|
Total | Â | 1202 | 597 | 50% | 23 959 | 2.49 (2.30 - 2.70) | Â | Â | Â | Â |
Sex | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 | Male | 520 | 236 | 45% | 10714 | 2.20 (1.94 - 2.50) | 1.00 | 0.011 | 1.00 | 0.013 |
 | Female | 682 | 361 | 53% | 13245 | 2.73 (2.46 - 3.02) | 1.24 (1.05 - 1.46) |  | 1.23 (1.04 - 1.46) |  |
Age group, years | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
 | 18-30 | 394 | 220 | 56% | 7663 | 2.87 (2.52 - 3.28) | 1.00 | 0.023 | 1.00 | 0.058 |
 | 31-45 | 379 | 171 | 45% | 7846 | 2.18 (1.88 - 2.53) | 0.76 (0.62 - 0.93) |  | 0.78 (0.64 - 0.96) |  |
 | 46-80 | 429 | 206 | 48% | 8450 | 2.44 (2.13 - 2.80) | 0.85 (0.70 - 1.03) |  | 0.87 (0.72 - 1.06) |  |
Country of birth | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 | Netherlands | 1048 | 535 | 51% | 20517 | 2.61 (2.40 - 2.84) | 1.00 | 0.003 | 1.00 | 0.009 |
 | Other Western country | 67 | 34 | 51% | 1487 | 2.29 (1.63 - 3.20) | 0.88 (0.62 - 1.24) |  | 0.83 (0.59 - 1.18) |  |
 | Non-Western country | 87 | 28 | 32% | 1955 | 1.43 (0.99 - 2.08) | 0.55 (0.38 - 0.80) |  | 0.58 (0.39 - 0.86) |  |
Primary purpose of travel | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
 | Tourism | 1030 | 518 | 50% | 20306 | 2.55 (2.34 - 2.78) | 1.00 | 0.005 | 1.00 | 0.032 |
 | Work or education | 98 | 53 | 54% | 1854 | 2.86 (2.18 - 3.74) | 1.12 (0.85 - 1.49) |  | 1.12 (0.84 - 1.51) |  |
 | Visiting friends and/or relatives | 74 | 26 | 35% | 1799 | 1.45 (0.98 - 2.12) | 0.57 (0.38 - 0.84) |  | 0.63 (0.42 - 0.94) |  |
Previous travel to a developing country | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
 | Never | 223 | 118 | 53% | 4178 | 2.82 (2.36 - 3.38) | 1.00 | 0.109 |  |  |
 | 1 to 5 times | 698 | 351 | 50% | 13881 | 2.53 (2.28 - 2.81) | 0.90 (0.73 - 1.10) |  |  |  |
 | 6 times or more | 281 | 128 | 46% | 5900 | 2.17 (1.82 - 2.58) | 0.77 (0.60 - 0.99) |  |  |  |
Travel destination | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
Latin America | South America | 202 | 88 | 44% | 4483 | 1.96 (1.59 - 2.42) | 1.00 | < 0.0005 | 1.00 | < 0.0005 |
 | Central America and Caribbean | 120 | 66 | 55% | 2014 | 3.28 (2.58 - 4.17) | 1.67 (1.21 - 2.30) |  | 1.54 (1.12 - 2.13) |  |
Africa | Southern and Eastern Africa | 184 | 85 | 46% | 3804 | 2.24 (1.81 - 2.76) | 1.14 (0.85 - 1.53) | Â | 1.10 (0.82 - 1.49) | Â |
 | Middle, Western and Northern Africa | 111 | 62 | 56% | 1747 | 3.55 (2.77 - 4.55) | 1.81 (1.31 - 2.50) |  | 1.93 (1.39 - 2.68) |  |
Asia | South-Eastern and Eastern Asia | 422 | 199 | 47% | 8811 | 2.26 (1.97 - 2.60) | 1.15 (0.90 - 1.48) | Â | 1.11 (0.87 - 1.43) | Â |
 | South-Central and Western Asia | 127 | 79 | 62% | 2063 | 3.83 (3.07 - 4.77) | 1.95 (1.44 - 2.64) |  | 1.94 (1.43 - 2.64) |  |
Several regions | Several regions | 33 | 15 | 46% | 975 | 1.54 (0.93 - 2.55) | 0.78 (0.45 - 1.36) | Â | 0.75 (0.44 - 1.30) | Â |